SOUTH FLORIDA COMMUNITY CARE NETWORK LLC NPI 1497572689

NPI Information

  • NPI: 1497572689
  • Provider Name: SOUTH FLORIDA COMMUNITY CARE NETWORK, LLC
  • Classification: Health Maintenance Organization - 302R00000X
  • Entity Type: Organization
  • Other Name: CCP MMA-REGION G
  • Address: 1643 HARRISON PKWY STE H-200
    SUNRISE, FL
    ZIP 33323
  • Phone: (954) 622-3200

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NPI Details

SOUTH FLORIDA COMMUNITY CARE NETWORK, LLC is a health maintenance organization in Sunrise, FL. The provider is (1) A form of health insurance in which its members prepay a premium for the HMO's health services which generally include inpatient and ambulatory care. For the patient, an HMO means reduced out-of-pocket costs (i.e. no deductible), no paperwork (i.e. insurance forms), and only a small copayment for each office visit to cover the paperwork handled by the HMO; (2) A organization of health care personnel and facilities that provides a comprehensive range of health services to an enrolled population for a fixed sum of money paid in advance for a specified period of time. These health services include a wide variety of medical treatments and consults, inpatient and outpatient hospitalization, home health service, ambulance service, and sometimes dental and pharmacy services. The HMO may be organized as a group model, an individual practice association (IPA), a network model or a staff model. SOUTH FLORIDA COMMUNITY CARE NETWORK, LLC NPI is 1497572689. The provider is registered as an organization entity type.
The provider Other Name Is Ccp Mma-region G.

The provider's business location address is:

1643 HARRISON PKWY STE H-200
SUNRISE, FL
ZIP 33323-091
Phone: (954) 622-3200

The provider's authorized official is Lupe Rivero .
The authorized official title is Svp & Chief Business Dev Officer and has the following contact phone number (954) 622-3237.

The enumeration date for this NPI number is 9/20/2024 and was last updated on 9/20/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1302R00000XHealth Maintenance OrganizationYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11232282-09MEDICAIDFLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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